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General NPI Number Information
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NPI Number | 1386269397
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Entity Type | Individual
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Provider Name | ANDREW JAMES HERRINGTON
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Gender | Male
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Dates
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Enumeration Date | 06/15/2020
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Last Update Date | 04/23/2021
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Provider Practice Location Address
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Address Line | 224 SE 24TH ST
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City | GAINESVILLE
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State | FL
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Zip | 32641-7516
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Country | US
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Telephone | 352-334-7900
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Fax |
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Provider Business Mailing Address
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Address Line | 2510 NE 9TH ST APT 501
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City | GAINESVILLE
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State | FL
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Zip | 32609-6001
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Country | US
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Telephone | 904-868-2890
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 9113481
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License Number State | FL
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